更年期潮热妇女睡眠状况分析

目的：探讨更年期潮热的妇女睡眠状况，以及潮热程度与睡眠的关系。方法回顾分析2006年10月至2008年5月间于西安交通大学医学院第一附属医院体检中心进行健康体检的1206名40～60岁妇女分为潮热组、无潮热组，分别完成调查问卷。问卷具体内容包括一般情况、潮热状况和匹兹堡睡眠质量指数（ PSQI），并对结果进行分析。结果潮热组妇女PSQI总分平均值高于无潮热组妇女（8．03±4．28 vs 5．58±3．56，t＝－2．359，P＜0．05）；潮热妇女发生睡眠质量差的风险是无潮热妇女的4．172倍（OR＝4．172，95％CI：1．26～13．80，P＜0．05）。 PSQI表中睡眠质量、睡眠障碍及日间功能项，潮热组妇女均高于无潮热组妇女（t值分别为－1．936、－2．556、－2．217，均P＜0．05）。重度潮热妇女的PSQI得分显著高于轻度潮热的妇女（9．85±3．72 vs 7．96±3．92，F＝12．316，P＜0．05），亦显著高于中度潮热的妇女（9．85±3．72 vs 8．31±4．08，F＝4．261，P＜0．05）。结论更年期潮热影响妇女的睡眠，其中以重度潮热最为显著，导致妇女出现睡眠障碍、睡眠质量和日间功能下降。

Sleep condition of climacteric women with hot flashes

Objective To explore the sleep quality of climacteric women with hot flashes and its relation with hot flashes degree .Methods A total of 1 206 eligible women aged 40-60 years were divided into hot flashes group and no hot flashes group .All women were asked to finish the questionnaires .The contents of questionnaires included general situation , hot flashes and the Pittsburgh Sleep Quality Index (PSQI) self-rating scale.Results The mean scores of PSQI in hot flashes group were higher than those in no hot flashes group (8.03 ± 4.28 vs 5.58 ±3.56, t=-2.359, P<0.05).The risk of poor sleep quality among hot flashes cases were 4.172 fold (OR=4.172,95%CI:1.26-13.80, P<0.05) compared with no hot flashes cases .The item scores of PSQI , including sleep quality , sleep disturbance and daytime function were all higher in hot flashes group (t value was -1.936, -2.556 and -2.217, respectively, all P<0.05).The mean scores of PSQI in women with severe hot flashes were obviously higher than those in women with moderate hot flashes (9.85 ±3.72 vs 7.96 ±3.92, F=12.316, P<0.05), and also higher than those in women with mild hot flashes (9.85 ±3.72 vs 8.31 ±4.08, F=4.261, P<0.05).Conclusion The climacteric women with hot flashes have sleep trouble easily , especially women with severe hot flashes.Hot flashes can introduce sleep disturbance and decline of sleep quality and daytime function .